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in vitro culture and isoenzyme analysis of giardia lamblia

in vitro culture and isoenzyme analysis of giardia lamblia

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features noted <strong>in</strong> human <strong>in</strong>fections.<br />

1.5.5 Identification <strong>of</strong> virulence determ<strong>in</strong>ants <strong>of</strong> the organism which would<br />

help <strong>in</strong> new drug <strong>and</strong> vacc<strong>in</strong>e design.<br />

IgA 1 protease activity (cleav<strong>in</strong>g IgA 1 immunoglobul<strong>in</strong> <strong>and</strong> haemoglob<strong>in</strong>) has been<br />

described <strong>in</strong> Giardia <strong>in</strong>test<strong>in</strong>alis trophozoites (Webster, 1980; Parenti 1989)<br />

suggest<strong>in</strong>g that Giardia species can survive <strong>in</strong> the <strong>in</strong>test<strong>in</strong>e by degrad<strong>in</strong>g host IgA.<br />

The protease activity may be a non-specific virulence factor that allows the<br />

organism to evade host enteric defence mechanisms.<br />

A tryps<strong>in</strong>-activated, mannose-b<strong>in</strong>d<strong>in</strong>g lect<strong>in</strong> which mediates adherence <strong>of</strong> the<br />

parasite to host epithelia has been demonstrated on the surface <strong>of</strong> Giardia<br />

trophozoites (Lev et al., 1986). Whether absence or <strong>in</strong>hibition <strong>of</strong> these b<strong>in</strong>d<strong>in</strong>g<br />

molecules could prevent parasite colonisation <strong>and</strong> thus <strong>in</strong>terfere with production <strong>of</strong><br />

cl<strong>in</strong>ical illness has yet to be <strong>in</strong>vestigated.<br />

Giardia has been found to display a large degree <strong>of</strong> diversity <strong>in</strong> its surface<br />

antigens (Adam et al., 1988; Aggarwalet al., 1989 Nash et al., 1988; 1990). These<br />

antigens represent a dist<strong>in</strong>ct family <strong>of</strong> cyste<strong>in</strong>e-rich prote<strong>in</strong>s termed variant-specific<br />

surface prote<strong>in</strong>s (VSPs), which cover the entire surface <strong>of</strong> trophozoites <strong>in</strong>clud<strong>in</strong>g<br />

the f1agella (Nash, 1992). The trophozoites can vary their surface antigens <strong>and</strong><br />

rates <strong>of</strong> change <strong>of</strong> VSPs vary markedly among isolates (Nash et al., 1988). These<br />

surface antigens appear to play a role <strong>in</strong> pathogenecity (virulence) <strong>of</strong> different<br />

isolates <strong>of</strong> Giardia:<br />

• The documented differences <strong>in</strong> resistance to proteases (tryps<strong>in</strong> <strong>and</strong><br />

21

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